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J Neurol Neurosurg Psychiatry 2001;71:716-719 doi:10.1136/jnnp.71.6.716
  • Review series
  • NOSOLOGICAL ENTITIES?

Chronic facial pain: a multidisciplinary problem

  1. G Madlanda,b,c,
  2. C Feinmanna,b,c
  1. aBehavioural Sciences and Dentistry, Eastman Dental Institute and Hospital, 256 Gray's Inn Road, London WC1X 8LD, UK, bDepartment of Psychiatry and Behavioural Sciences, University College London, UK, c48 Riding House Street, London W1N 8AA, UK
  1. G Madlandgmadland{at}eastman.ucl.ac.uk
  • Received 19 December 2000
  • Revised 5 March 2001
  • Accepted 7 March 2001

Abstract

Atypical facial pain is an unrecognised and unhelpful diagnosis but one which describes chronic pains that do not fit the present classification system. Due to the site of the pain, patients may seek and, indeed, receive treatment from dental practitioners and specialists, but the pain is often unresponsive and may have more in common with unexplained medical symptoms affecting other areas of the body, than with other dental symptoms. This review suggests a need for a diagnostic category of “chronic facial pain”, which demands a multidisciplinary approach to diagnosis and management.

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